Phone number:
e-mail address:
Note: I use phone very rarely, ONLY if I need to urgently contact you. For
example, to cancel an appointment.)

How would you like to be addressed during class?

Is this your first semester at Truman College?
yes
no

Do you plan to enter the nursing program at Truman College?
yes
no
not sure

Do you already have a major?
yes
no
not sure
If yes, what is your major?

Do you plan to earn a certificate at Truman College?
yes
no
not sure
If yes, what certificate?

Do you plan to transfer to a four-year university?
yes
no
not sure
If yes, which university?

What other courses are you taking this semester?

Please indicate approximately how much time do you spend with

Work:

hours per week

Commute:

hours per week

Family resonsibilities:

hours per week

Studying:

hours per week

If there are other activities that currently demand a lot of your time (sport, hobby, etc), indicate

Activity:

hours per week

Activity:

hours per week

Activity:

hours per week

For successful completion of a college course, students must study every week
outside of lectures at least twice as many hours as the credit hours of the course.
For example, to successfully complete a 5 credit hour course, students need to study at least 10 hours
per week for this course. These 10 hours are in addition to the classes, and some students need to study even more than that.

I understand and I have this much time available for studying for this course.
yes
no

Many topics will be covered by handouts posted on the class's web site. Do you have easy daily access to

a computer?

yes
no

the internet?

yes
no

a printer?

yes
no

Why are you taking this course?

What grade do you hope to earn in this class?

What is the highest level of math course that you plan to take?

When did you take your last math course before
this class? What class was it? What grade did you get?